Acceptability of school requirements for human papillomavirus vaccine

Figures & data

Table 1 Socio-demographic characteristics and daughter's vaccination status associated with support for laws requiring HPV vaccination for school attendance

	School requirements for HPV vaccination “are a good idea”
	Total (N=866)		Agree
	n	%†	%	OR (95%CI)
Socio-Demographic Characteristics
Parent's age, years
<40	241	49.2	46.2	1
40–44	326	26.5	47.2	1.0 (0.7–1.7)
>45	306	24.2	45.9	1.0 (0.6–1.7)
Parent's residence
Rural	428	47.3	42.3	1
Urban	438	52.7	50.1	1.4 (0.9–2.0)
Parent's race
White	607	52.0	43.4	1
Black	204	38.1	51.5	1.4 (0.9–2.1)
Other	55	9.9	42.6	1.0 (0.4–2.2)
Parent's education
<High school	187	28.3	46.7	1
>Some college	679	71.7	46.3	1.0 (0.6–1.7)
Parent's marital status
Married or living together	730	83.3	46.3	1
Divorced	59	6.2	50.8	1.3 (0.5–2.5)
Single or never married	39	10.4	47.5	1.1 (0.4–2.5)
Parent's annual household income (US dollars)
<50,000	321	46.6	46.4	1
≥50,000	545	53.3	46.4	1.0 (0.7–1.4)
Daughter's age, years
>16	332	32.5	49.4	1
13–16	378	45.4	48.1	0.91 (0.6–1.4)
9–12	156	22.0	38.3	0.63 (0.3–1.1)
Vaccination initiation by daughter
Daughter has had ≥1 dose of HPV vaccine
No	761	89.6	43.1	1
Yes	105	10.4	75.0	5.0 (2.0–10.0)*
Will get daughter HPV vaccine in the next year †
Definitely or probably will not	258	32.4	9.4	1
Definitely or probably will	465	62.0	61.8	16.7 (10.0–25.0)*
Do not know/ Refused	38	5.7	30.5	5.0 (1.4–10.0)*

Proportions, odd ratios and confidence intervals are weighted. Odd ratios (OR) and 95% confidence intervals (CI) adjusted for parent's age, daughter's age and residence.

* p < .05;

† Among caregivers whose daughter has not been vaccinated

Table 2 Agreement with school requirements for HPV caccine among 866 parents of female adolescents in North Carolina

“Some states are trying to pass laws that would require all 11 and 12 year-old girls to get the HPV vaccine before they are allowed to start 6th grade.”		“I think these laws are a good idea.”
“Okay to have these laws only if parents can opt-out.”		Agree, n (%)	Disagree, n (%)	Total, n (%)
	Agree	330 (39.7)	382 (43.9)	712 (83.6)
	Disagree	58 (6.7)	96 (9.7)	154 (16.4)
	Total	388 (46.4)	478 (53.6)	866 (100.0)

Note: All percentages shown are out of the total sample and are weighted.

Table 3 Parental attitudes associated with support for laws requiring HPV vaccination for school attendance

	School requirements for HPV vaccination “are a good idea”
	Total (N=866)		Agree
	n	%†	%	OR (95%CI)
Attitudes toward HPV vaccine
HPV vaccine is unsafe
Disagree	530	61.1	56.3	1
Agree	101	12.7	24.7	0.3 (0.1–0.5)*
Do not know/ Refused	235	26.2	33.7	0.4 (0.2–0.6)*
HPV vaccine causes lasting health problems
Disagree	333	37.2	62.5	1
Agree	214	27.2	28.8	0.2 (0.1–0.4)*
Do not know/ Refused	319	35.5	42.9	0.5 (0.3–0.8)*
If a teenage girl gets HPV vaccine, she will be more likely to have sex
Disagree	654	77.0	51.5	1
Agree	170	18.7	29.6	0.4 (0.2–0.6)*
Do not know/ Refused	42	4.2	28.4	0.3 (0.2–0.8)*
HPV vaccine is being pushed by drug companies
Disagree	446	52.7	58.4	1
Agree	289	30.0	30.2	0.3 (0.2–0.5)*
Do not know/ Refused	131	17.3	38.0	0.4 (0.2–0.8)*
HPV vaccine is so new, want to wait a while before deciding to get daughter vaccinated †
Disagree	221	30.0	61.7	1
Agree	522	67.5	32.8	0.3 (0.2-0.6)*
Do not know/ Refused	18	2.4	71.8	1.7 (0.4–5.0)
More benefit if daughter gets HPV vaccine sooner †
Disagree	158	19.4	7.4	1
Agree	512	68.8	54.9	16.1 (8.4–31.0)*
Do not know/ Refused	91	11.7	33.1	6.5 (2.6–16.4)*
Perceived HPV vaccine effectiveness against cervical cancer
Slightly/ Moderately	286	35.0	37.0	1
Very/ Extremely	359	40.0	62.6	2.5 (1.7–5.0)*
Do not know/ Refused	221	25.0	33.7	0.9 (0.5–1.4)
Perceived HPV vaccine effectiveness against genital warts
Slightly/ Moderately	308	40.2	45.1	1
Very/ Extremely	245	26.0	57.4	1.7 (1.0–2.5)*
Do not know/ Refused	313	33.9	39.5	0.8 (0.5–1.3)
Anticipated regret if daughter not vaccinated and later acquired type of HPV that can lead to cervical cancer †
Not at all/ a little/	87	11.6	6.7	1
Moderate/ a lot	653	86.2	48.5	10.0 (5.0–50.0)*
Do not know/ Refused	21	2.2	22.3	5.0 (0.9–25.0)
Attitudes toward HPV vaccine requirements
Decision to give HPV vaccine should be parents' alone
Disagree (includes do not know/ refused)	195	20.8	70.5	1
Agree	671	79.2	40.0	0.3 (0.2–0.5)*
HPV vaccine is too new for laws like these
Disagree	197	24.1	67.2	1
Agree	660	72.9	38.6	0.3 (0.2–0.6)*
Do not know/ Refused	9	3.0	68.8	1.1 (0.1–10.0)
All girls should get HPV vaccine
Disagree	227	25.3	4.6	1
Agree	574	65.3	62.4	33.3 (16.7–100.0)*
Do not know/ refused	65	10.8	49.1	20.0 (5.0–50.0)*
All boys should get HPV vaccine
Disagree	198	25.1	15.8	1
Agree	564	63.9	58.3	7.9 (3.6–17.4)*
Do not know/ refused	104	11.0	47.8	5.2 (2.0–13.5)*

Note: Proportions, odd ratios, and confidence intervals are weighted. Odds ratios (OR) and 95% confidence intervals (CI) adjusted for parent's age, daughter's age, and residence.

* p < .05;

† Among caregivers whose daughters had not been vaccinated.